SUMATRIPTAN SUCCINATE 4MG/0.5ML INJ,STATDOSE SYSTEM KIT (17608)    VA PRODUCT (50.68)

Name Value
NAME SUMATRIPTAN SUCCINATE 4MG/0.5ML INJ,STATDOSE SYSTEM KIT
VA GENERIC NAME SUMATRIPTAN
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 4
INACTIVATION DATE 2011-01-03 00:00:00
UNITS MG/0.5ML
NATIONAL FORMULARY NAME SUMATRIPTAN INJ
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SUMATRIPTAN SUCC 4MG/0.5ML STATDOSE SYST
VA PRODUCT IDENTIFIER S0454
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4025140
EFFECTIVE DATE/TIME
  • 2006-05-22 00:00:00
    STATUS:   ACTIVE
  • 2011-01-03 00:00:00
    STATUS:   INACTIVE
  • 2011-01-03 00:00:00
    STATUS:   INACTIVE